crna

Meet Annemarie Wiley CRNA!

When you think about reality tv and especially the Real Housewives franchise, you probably do not think about adopted small town Canadian girls of Nigerian/Dutch descent raised by a single mom.  Well, not only is that Annemarie, but she is also an athlete, became an RN, worked in Canada and then the U.S. and eventually became a Nurse Anesthesiologist (CRNA)! She is eloquent, intelligent, gregarious and very proud of her chosen profession, Nurse Anesthesiology! In this episode we talk about her background, her experience as an RN and CRNA, the housewives show and her families amazing charity https://projecttransition.org/ with its mission:

"To inspire, equip, and support individuals in their journey of transformation, ensuring they not only navigate transitions successfully but also emerge stronger, more resilient, and ready to lead."

Enjoy this great conversation with Annemarie and do not make the mistake I made! It is pronounced Annamarie not "Anne-Marie"! 

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In this special guest episode, Danielle Duffy, graduate student in the College of Health Professions Department of Nurse Anesthesia, shares reflections on her doctoral project. Danielle explores the concept of psychological safety, what it is, how it presents itself in the clinical setting, and how it can influence actions taken by student clinicians. She also looks at the impact of these decisions and psychological safety in general on patients and patient safety.

Research references



For more information on the DNAP program at VCU visit the Department of Nurse Anesthesia website.

Dr. Meena Verma did not arrive in the United States from India with a background in medical education. However, equipped with the inspiration of her grandfather and a calling to improve the lives of others she took on the challenges that lead to becoming a nurse anesthetist and proud alumna of the VCU Nurse Anesthesia department. In this episode, she shares her story as a learner and how mentorship of new students plays an important role in her professional practice.

Featured Guests:
Meena Verma - DNAP, CRNA

The latest episode of the Plan B CRNA podcast features hosts Bobby Jones and Dr. Matthew Newton discussing the current state of nursing and the critical shortage of Certified Registered Nurse Anesthetists (CRNAs) across the United States. Driven by the need to address the nursing shortage crisis, the hosts delve into various aspects that contribute to the issue. They highlight the significant challenges nurses and CRNAs face, including job dissatisfaction, burnout, and the lack of appreciation from employers. The conversation revolves around the evolving work culture, factors such as remote work and job hopping, and the importance of transparent compensation structures to combat resentment. The hosts also emphasize the necessity of fostering a supportive community among healthcare professionals and shedding light on the less-discussed topic of burnout, while exploring potential solutions to improve the overall work environment and enhance retention.

The hosts also touch on the impact of COVID-19 on healthcare workers and how the pandemic has exacerbated existing issues within the nursing profession. Overall, the episode serves as a thoughtful analysis of the challenges faced by nurses and CRNAs, addressing systemic concerns and highlighting the importance of collaboration, transparency, and meaningful change in the healthcare industry.

To find out more about investing in multifamily real estate schedule a call at https://www.oncallinvestments.com/

Are you a healthcare provider exploring options outside of your traditional career path?
Be a guest on The Plan B CRNA podcast!
Email me at: Bobby@oncallinvestments.com for more information

In an attempt to control the freedom of what other professions call themselves and limit titles in Wisconsin, the medical society introduced SB 143.
 
On May 24,  Wisconsin Association of Nurse Anesthetists President Jenna Palzkill—as well as Dr. Joe Rodriguez, who was representing the AANA—helped inform and educate the Wisconsin Senate Committee on Health on why proposed SB 143 does NOT help Wisconsinites. 

If passed, this bill would preclude the use of the title Nurse Anesthesiologist in the state. An attempt of one competitor trying to control another. This is the audio of that testimony that ended this attempt.

You can learn more about the genesis of Nurse Anesthesiologist here:  https://www.nurseanesthesiologistinfo.com/

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Meet Julie Nycum, CPCU, RPLU, ARM, the current director of AANA Insurance Services, providing medical malpractice to CRNAs across the country through Medical Protective (med pro).  Julie worked for Medical Protective (med pro), a Berkshire Hathaway Company writing 2 billion in policies a year for 24 years as Vice President of Underwriting. In 2006 she met with AANA insurance services on behalf of med pro to develop the medical malpractice services AANA uses today.  

On this podcast we talk about:

• Occurrence vs Claims made and how important it is to know the difference related to YOUR risk and why over time claims made is MORE expensive
• Buying claims made "tail" isn't as simple as it sounds. Or as good.
• Time does not start until discovery starts. Might be past your claims-made policy and then YOU are on the hook.
• Consent to Settle & Hammer Clauses (Scary Stuff)
• You can be named (and need coverage) for NON-Anesthesia issues
• Policies may cover a lot more than you are aware of like lost wages etc.
• What does "1 million per occurrence and 3 million aggregate" coverage mean?
• Why 1/3 mil vs 250/500K  per claim/aggregates are different in different states? Should you get a 1/3 policy anyway?
• What happens if a claim went OVER the max/occurrence (1 million) policy? You pay that is what happens. 
• Why does Admitted vs Non-Admitted matter? The Oceanus Story
• Does AM Best matter to providers or facilities?
• How the size of an insurance company impacts the lawyers you get access to
• If you own an anesthesia company should you have special insurance for your contractors for vicarious liability?
• If you are covered by a groups policy should you also have your own to protect your interest?
• Does a settlement result in you being reported to the national practitioner databank? 
• Is there any increased cost for med mal for an independent CRNA to the CRNA?
• Is there extra cost for the facility or surgeon working with an independent CRNA?
• Is there decreased cost for the CRNA or facility when working in an Anesthesia Care Team with a physician anesthesiologist? "liability shield"
• If you do ketamine clinics, medical aesthetics, IV infusion work does your CRNA medical malpractice cover these things?
• Medical Malpractice rates have not increased for CRNAs at Med Pro for 14 years. Now they are increasing, why and what does that mean?
• When do you have to report to the med mal company? Can you self-trigger coverage by hearing something might happen or when an event occurs? Can claims made do this?
• Whats the process and length of time of a claim?

Addendum: If you are threatened with a claim (lawsuit) you should report that to medpro in writing ASAP.

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Anesthesia Deconstructed host Joe Rodriguez talks to a rare professional: Dr. Rhea Temmerand, CRNA who is a pharmacology PhD and actively involved in bench research while maintaining a clinical practice.  We talk about everything from what it is like to be known as a Scientist and as a CRNA, and why CRNAs often do little bench research. 

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03/05/23

The Healthy Matters Podcast

Season 2 - Episode 07 - Healthcare's Alphabet Soup

There’s no "I" in team, and technically, there’s also no "I" in MD, PA, RNP, AAP, etc…  But it takes each of these to build out a modern healthcare system’s team-based approach to serving a community.  So, who and what are they?

It’s likely that you’ve been seen by a PA or an NP at some point, and there’s a growing number of them in our clinics and hospitals every day.   How do they differ from an MD?  What types of care do they provide?  And should you feel confident being seen by one?   In Episode 7, Dr. Hilden (MD, MPH, FACP… Yep, more letters...) and guest Meghan McCoy (PA-C), the Director of Advanced Practice Providers at Hennepin Healthcare, help clarify these titles and what they actually mean.  They explain the training and skills behind each role, where you might encounter them, and how the team functions as a whole.  It's healthcare's alphabet soup on Episode 7 - join us!

Got a question for the doc?  Or an idea for a show?  Contact us!

Email - healthymatters@hcmed.org

Call - 612-873-TALK (8255)

Twitter - @drdavidhilden

Find out more at www.healthymatters.org

The Plan B CRNA podcast recently featured Ann Konkoly, a Certified Nurse Midwife who has achieved great success in her coaching practice for women advanced practice nurses (APNs). In addition to being a midwife and medical director, Ann is now a business coach for APNs who want to positively impact the world while also achieving financial success.

Ann's coaching practice has generated over $300,000 in revenue and helped numerous nurses improve their lives and businesses. She manages a large Facebook group with over 7,000 members called Side Hustles for APNs, where she shares advice and resources for nurses who are interested in starting their own businesses. Ann also runs a mastermind group called Nurses Living the Good Life, which is focused on helping APN business owners grow their impact and profits.

During the podcast episode, Ann discusses her own journey from midwife to business coach and shares insights and tips for other nurses who are interested in starting their own businesses or growing their existing ones. She emphasizes the importance of having a clear vision for your business, setting achievable goals, and being willing to invest in yourself and your business in order to achieve success.

Overall, the podcast provides valuable insights into the world of nurse entrepreneurship and the potential for nurses to make a positive impact while also achieving financial success.

https://www.facebook.com/groups/SideHustlesForAPRNs

www.nurseslivingthegoodlife.com

https://www.facebook.com/annkonkolycnm

Nurses Living the Good Life Podcast

To find out more about investing in multifamily real estate schedule a call at https://www.oncallinvestments.com/

Are you a healthcare provider exploring options outside of your traditional career path?
Be a guest on The Plan B CRNA podcast!
Email me at: Bobby@oncallinvestments.com for more information

Simon Willman, JD, former in-house counsel for CORE Orthopedics and Current owner of McDowell Mountain Law, speaks about non-competes and their impact on Anesthesiology Professionals, which touches every practicing provider, 1099 or W2.  The bad information out there on this topic is rampant – Simon lends his expertise as a healthcare business and contract lawyer to give us a brief introduction.  Send us your questions so we can discuss them with Simon again in the future!

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Dan Hladky graduated as a CAA with the second class, ever, out of the Case-Cleveland  program in 1974. Dan shares his journey into and out of the profession to which he dedicated 48 years of life.

Inspired to submit your own CAA journey for our next process episode?
Contact me to book a 15 min discovery call. During which I will share more about the podcasting process and we can get a sense of your episode's theme.  I am so excited to begin our journey together. 

Contact Dan Hladky, CAA by emailing awakenedanesthetist@gmail.com and I will pass it along over our next Sunday dinner!

New here?  Listen to all previous PROCESS episodes (ep. 1, 9, 10, 13, 15) then leave a rating and review on your podcast app. It really helps spread the word, thank you!

I hope to see you at Awakened Anesthetist Podcast LIVE on Friday of the AAAA 2024! Meet our current AAAA President, Danny Mesaros and be a part of my 1st LIVE audience (besides my kids).

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Want more? Stay in the know by subscribing to the Awakened Anesthetist Newsletter- more resources, exclusive content and ways to connect.

Let's Chat! Contact me:
awakenedanesthetist@gmail.com
IG @awakenedanesthetist

Meet Mr. Silberman JD from the BENESCH law firm! We talk about the New Hampshire ruling and Nurse Anesthesiologist, Qui Tam lawsuits and anti-trust, The risk of medicare fraud with medical direction and TEFRA, if Extubation is part of emergence as it related to TEFRA based on the Donegan v. Anesthesia Associates of Kansas City, PC, Liability of surgeons with CRNAs in the ACT or independently and MUCH more! 

A little about Mark:

Mark is an experienced trial lawyer, health care attorney and litigator. His practice focuses on helping health care professionals and businesses navigate the complex and changing landscape of health care with an emphasis on achieving governmental and regulatory compliance.

Mark concentrates on managing internal and external health care investigations, False Claims Act cases, white collar criminal defense, all forms of health care litigation, and all aspects of the Illinois Certificate of Need program.

Mark handles audit, compliance, investigations and enforcement actions involving HHS-OIG, the Medicare/Medicaid programs, the Illinois Department of Public Health, and Illinois Health Facilities and Services Review Board (Certificate of Need). He advises clients regarding managing and avoiding allegations of health care fraud and health care-related criminal conduct, addressing concerns related to the Anti-Kickback Statute, and pharmacy and pharmaceutical related litigation. He provides counsel and litigation services for physicians, facilities and pharmacies engaged with any federal agency, along with handling Medicare/Medicaid reimbursement issues, False Claims Act/Qui Tam defense, and various health care transactional matters. Mark also served as the outside General Counsel to the American Association of Nurse Anesthetists.

More about Mark can be found here

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In this episode, you will hear from Mr. James Laubham CPA, owner of Capital Accounting,  PC on why Nurse Anesthesiologists and Physician Anesthesiologists are turning to 1099 to maximize their career benefits. He goes through the ins and outs as well as what you need to know when deciding to go 1099. 

Learn from a CPA who is an expert in anesthesia business accounting!

Learn more at the Capital Accounting website https://www.capitalacctpc.com/

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DID YOU KNOW?

-Nurse Anesthesiology is a high growth, advanced practice field, considered by many to be the pinnacle of the nursing profession.

-According to the American Association of Nurse Anesthesiology, it takes a minimum of 7-8.5 calendar years of education and experience to prepare a CRNA.

-“As advanced practice registered nurses, CRNAs practice with a high degree of autonomy and professional respect. CRNAs are qualified to make independent judgments regarding all aspects of anesthesia care based on their education, licensure, and certification. They are the only anesthesia professionals with critical care experience prior to beginning formal anesthesia education.” https://www.aana.com/membership/become-a-crna/crna-fact-sheet

HELPFUL LINKS:

DiversityCRNA.org

https://www.all-crna-schools.com

Nurse.org

Samuel Merit University Anesthesia Doctor of Nursing Program  https://www.samuelmerritt.edu/college-nursing/anesthesia-doctor-nursing-practice

UNDERSTANDING THE DIFFERENCE BETWEEN REGISTERED NURSES AND ADVANCED PRACTICE REGISTERED NURSES:

-Google “Difference between RN and APRN” for a variety of resources that will explain how the scope of work for Advanced Practice registered nurses (such as CRNAs) differ from registered nurses.

A very special Thank You to our generous supporters.  This podcast is made possible by public donations to Career Share, the 501(c)(3) educational nonprofit whose mission is to promote clarity and opportunity for career explorers in underrepresented groups. Learn more and donate at CareerShareConnect.org. Follow us on Instagram @CareerShareConnect.

Meet the former AANA CEO and now Chief Anesthetist Officer of Northstar Anesthesia Dr. Randall Moore DNP, MBA, CRNA. We talk about ALL the things in this 3 part interview! Topics range from anesthesia reimbursement, the impact of the pandemic, the difficulty recruiting, why he left the AANA, culture, what his new role entails at Northstar, and what it takes to build a functional anesthesia team!

There is an incredible amount of information packed into this 3 part interview from a leader in one of the leading companies in anesthesia services in the United States.

https://northstaranesthesia.com/our-culture/leadership.html

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Meet the former AANA CEO and now Chief Anesthetist Officer of Northstar Anesthesia Dr. Randall Moore DNP, MBA, CRNA. We talk about ALL the things in this 3 part interview! Topics range from anesthesia reimbursement, the impact of the pandemic, the difficulty recruiting, why he left the AANA, culture, what his new role entails at Northstar, and what it takes to build a functional anesthesia team!

There is an incredible amount of information packed into this 3 part interview from a leader in one of the leading companies in anesthesia services in the United States.

https://northstaranesthesia.com/our-culture/leadership.html

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Meet the former AANA CEO and now Chief Anesthetist Officer of Northstar Anesthesia Dr. Randall Moore DNP, MBA, CRNA. We talk about ALL the things in this 3 part interview! Topics range from anesthesia reimbursement, the impact of the pandemic, the difficulty recruiting, why he left the AANA, culture, what his new role entails at Northstar, and what it takes to build a functional anesthesia team!

There is an incredible amount of information packed into this 3 part interview from a leader in one of the leading companies in anesthesia services in the United States.

https://northstaranesthesia.com/our-culture/leadership.html

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In this episode of “Ask the Experts,” Rita Agarwal, MD, joins the show to discuss the efforts in California to pass legislation to change anesthesia delivery in pediatric dental anesthesia cases. Agrawal has played an important role in advising and promoting the need for improved practices in the state, especially when it comes to the sole-operator model of anesthesia delivery.

Agarwal is a clinical professor of anesthesiology at Stanford University School of Medicine, in California. She is also the past president of the Society for Pediatric Pain Medicine. She has been working on the efforts to pass legislation on dental anesthesia delivery since 2015.

“Ask the Experts” is a conversation podcast series from the “Anesthesiology News Presents” channel. It features up close and personal Q&A interviews with leading experts in the field of anesthesiology on topics such as difficult airways and women in medicine.

Links Mentioned:

• Caleb’s Law
• Disagreements Persist Over Safety of Dental Anesthesia - Anesthesiology News
• Link to Interview with Peggy Seidman, MD, a SmileMD anesthesiologist

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Kevin talks with Nikki about traveling, nursing, SRNA/CRNA life, passion, dream jobs, scuba diving and everything in between. Nikki is a fun, lighthearted, heard working woman who really seeks to enjoy and maximize all that life has to offer. We are two peas in a pod on a podcast. Enjoy!

The Operating Room is a dynamic setting. The medications used are high risk and need immediate monitoring and oversight. At any moment, a patient’s condition can turn critical. Find out how pharmacy and anesthesia leaders at Atrium Wake Forest Baptist implemented solutions to help them ensure patient safety, drug availability, and compliance.